Assassination Records Review Board
Final Determination Notification

AGENCY HSCA
RECORD NUMBER 180-10068~-10298
RECORD SERIES STAFF PAYROLL RECORDS
AGENCY FILE NUMBER

December 8, 1995
Status of Document: Postponed 1n Part

Number of releases of previously postponed information: 3

Reason for Board Action The Review Board's decision was premised on several factors
including (a) the significant historical mterest in the document in question, (b) the
absence of evidence that the release of the mnformation would cause harm to the United
States or to any individual

Number of Postponements: 1

Postponements All the postponements in this document represent Social Security numbers

Reason for Board Action The text 1s redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted mvasion of personal privacy, and that invasion of
privacy would be so substantial that 1t outweighs the public interest

Substitute Language SSN

Date of Next Review

Board Review Completed: 10/24/95

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,

NW 8326 Docid:32#43204 Page 1

Date:08/20/93
Page:1
ye Fe JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

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AGENCY INFORMATION

AGENCY
RECORD NUMBER

HSCA
180-10068-10298

RECORDS SERTES
STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

DOCUMENT INFORMATION

ORIGINATOR : HSCA
FROM ;
TO :

TITLE :
DATE : 05/25/78
PAGES : 3
SUBJECTS :
HSCA, ADMINISTRATION
ADRINE, RONALD

DOCUMENT TYPE PRINTED FORM

CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS : P

DATE OF LAST REVIEW : 07/07/93

OPENING CRITERIA

COMMENTS

Box #:1.

(R] - ITEM IS RESTRICTED

NW 88326 Docid:32243264 Page 2

PAYROLL AUTHORIZATION FORM © ey Ss “

cs re,
(Please Use Typewriter {) US HOUSE OF REPRESENTATIVES. { (Any erasures, corrections, or changes
or Ballpoint Pen) Washington, DC 20515 ~~ on this form must be initialed by the

authorizing official )
To the Clerk ofthe House of Representatives

| hereby authorize the following payroll action

Employee Name (First-Middle-Last) Effective Date \
Ronalc Adrine 6/5/78 1
Employee Social Security Number Type of Action

302~-46- 7Q79 ‘a Appointment

O Salary Adjustment |

CI Title Change |

O Termination (At close of business on effective date)

- Assassinations D Leave without pay (Beginning with effective date above and ending
close of business

Specify Date

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below )

Position Title Gross Annual Salary*

weeee Rime pede thant abn

Staff Counsel $27,090.00

* If employee is a civil service annuitant (includes US House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office

‘

(If Committee Employee, complete appropriate item below) .

1 1 Standing Committee Staff—O] Clerical or 1 Professional

\

2 OD Special (Investigative staff of Standing Committee) or Select Committee Authority—H Res 236 of 25 Congress

3 0 Joint Committee

wt

(If Employee of an Officer of the House, complete item below}

Position Number.

| certify that this authorization is not in violation of 5 USC 3110(b), prohibiting the employment of

relatives
June 5 78
Dote. To WW eee eee eee ee
| vy (Sranature of Authorizing Offical
LGUIS STOKES, CHAIRMAR
| (if appropriate, signature of Subcommittee Chairman or Ranking Minority Member). ee EType or printname of Authorizing Offical), SSCS
ee (Type or print name and tile of above official), ===SS*~*é<“i‘“‘i‘~*S*”S”S”!C*!”!”!”!”!”CG tei Member Datrctond ioe)

All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropnations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration

APPROVED

Chairman Committee on House Administration

Office of Finance use only

Office Code

———+

Copy for Initiating Office or Committee

[ee Fa an CaO OO SY ate then we

NW 88326 Docid:32243264 Page 3 r

| ES EE

| MEMORANDUM

TO: Thomas Howarth, Budget Officer
Elizabeth Berning, Chief Clerk

FROM: I. Charles Mathews, Special Counsel
DATE: June 2, 1978

: Mr. Ronald Adrine

Please be advised that effective Monday, June 5,
1978, Mr. Ronald Adrine has accepted the position of
Staff Counsel with the Select Committee. His effective
starting salary will be $27,000.00 per annum.

If you have any questions concerning this matter,
please contact me at your convenience. (It has not been

determined which task force Mr. Adrine will be assigned to)

ICM:3

— _
|

iNW 88320 Docld:327241264 Page 4

at Fhe

Certificate of Relationship/Nonrelationship to
Any Current Member of Congress

Date May aS 1978 5/778

To: Adeasunation. Corn. '

(Employing Authority)

I certify that I do not have any of the following relationships to any
current Member of Congress.

father nephew sister-in-law
mother niece stepfather
son husband stepmother
daughter wife stepson
brother father-in-law stepdaughter
sister mother-in-law stepbrother
uncle son-in-law stepsister
aunt daughter-in-law half-brother
first cousin brother-in-law half-sister
/
C] I certify that I am the __..__SEeeesesesSCOsCsSCSFe Cf thee
(Relationship)
Honorable

(Name of Member to whom related)

(Employee)

, GPO —16~78695-3

— — Dn

NW 88326 Docid:32243264 Page 5 i

